Individual
LEE ANN BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM, MS
Contact information
Practice address
12991 EMERSON RD, APPLE CREEK, OH 44606-9302
(330) 857-0177
(330) 857-0190
Mailing address
12991 EMERSON RD, APPLE CREEK, OH 44606-9302
(330) 857-0177
(330) 857-0190
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
268563
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137968
—
MA
Enumeration date
01/30/2006
Last updated
07/12/2021
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